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'E V•E RETT <br /> Rim veret# Permit <br /> WASHINGTON <br /> COST ESTIMATE FOR PERMIT FEE CALCULATION 2019 <br /> Date: 8/5724 <br /> Public Works Permit No.: 0-O(Q <br /> PROJECT NAME: 1217 9-4 7c 1 p�' o <br /> LOCATION: 10z 3 icD SLR/ 1 (� '/ Ll Ott <br /> DEVELOPER: 62V ktitgi>1 i 4c <br /> Name: fZj l<. 17Q;S <br /> Address: 'lilt/ 70 /L- /'✓ <br /> City/State/Zip: t/✓A 1 70 <br /> Phone:2/2-5. 33o.C.a77 3 email: �2!/ r e }400 <br /> Contact: ' <br /> Name: 11/5.6A ) JCir S4i <br /> Address: 2770.7 Lev' 7\ 0eX 4v C <br /> City/State/Zip: tzt, V .?1 <br /> Phone:'-/Zs, 5°3 c'c` `5" email: &o 7.-e' <br /> J <br /> Grading/Cut/Fill (total earth moved) (Cubic Yards) L/�J <br /> J <br /> Total Asphalt/Concrete Paving (Sq. Ft.)(onsite & offsite): �i / <br /> + �✓ <br /> (For Stormwater System Development Fee Calculation):Total Roof Area (Sq.Ft.): ,7�) 1-10 �J-- ' <br /> Total Hard Surface Area on ground (Sq.Ft.): I`,i 711 <br /> Total of Public Improvements: $ ' ,400 .� <br /> Total of Private Improvements. $ /2;q 90 <br /> For Office Use Only <br /> Permit Fee: <br /> v �L1A+C A�Ro1 Z5.00 S ratt..-� WA'rg.a- 5?Si7��l. <br /> Erosion Control: $ r 00 do tcL-Ss st-E s S'J OAe.Y <br /> Grading/Fill/Excavation: $ a 3o .00 44-7• 8g <br /> Asphalt Paving: $ 45. 60 <br /> Plan Review Fee: $ 335. 8 5 <br /> Inspection Fee: ' $ (Q-?1. 10 <br /> Total: $ 2 .255. 43 <br /> Performance Guarantee: $ 0 1, Zso . 00 Required? /No <br /> (1.2 X cost of Public Improvements) <br />